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Michigan rates for HCPCS 43257

Egd Deliver Thermal Energy Sphnctr/Cardia Gerd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.57 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.83 / $213.83 / $213.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,819.00 / $7,355.00